Petersfield  HELPER
Please fill in this form if you can offer assistance to others in our local area we will try to match you up with those needing help.
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Email *
Are you Under 70 yrs old *
We don't want to put you, or anyone in your household, at any extra unnecessary risk, so if anyone in your household is vulnerable to Covid-19 due to underlying health issues or are over 70, we will only ask you to help from home, e.g. by making friendly phone calls
Data protection
By completing the contact information you agree for us to Securely hold this and supply to someone in your area requesting assistance to contact you.
Helper Name *
Do you Have a Valid DBS Check *
What is Your Postcode *
This will help us match you with people nearby if possible
Phone No *
Contact me through *
Required
What Can you offer *
If you have a special skill you can offer please enter it under Other
Required
What Area can you cover *
Time Available *
Please detail days/times you can help
Contact Info, Comments , Suggestions etc
Please let us know other contact information (we wont share it without agreement) or make any comments or suggestions here
A copy of your responses will be emailed to the address you provided.
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